Organization Active NPI

Hebbronville Dental Group

  • Dentist
  • Hebbronville, TX
National Provider Identifier
1184935124
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14118 Issued in TX
Legal business name
HEBBRONVILLE DENTAL GROUP
Practice address
312 E Galbraith St
Hebbronville, TX 78361-3402
Phone
(361) 527-4023
Fax
(361) 527-4213
NPI assigned
Jun 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ricardo Ramirez, DDS, FAGD
Title
Dentist
Phone
(361) 527-4023

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 14118 TX Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 23439 TX

Addresses

Primary practice location

312 E Galbraith St
Hebbronville, TX 78361-3402

Mailing address

312 E Galbraith St
Hebbronville, TX 78361-3402
Phone (361) 527-4023

Other identifiers 2

IdentifierTypeStateIssuer
209861801MedicaidTX
091000203MedicaidTX

National Provider Directory

National Provider Directory

Locations

312 E Galbraith St
Hebbronville, TX 78361
Phone (361) 527-4023

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1184935124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E GALBRAITH ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "783613402",
            "telephone_number": "361-527-4023",
            "fax_number": "361-527-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E GALBRAITH ST",
            "city": "HEBBRONVILLE",
            "state": "TX",
            "postal_code": "783613402",
            "telephone_number": "361-527-4023",
            "fax_number": "361-527-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBBRONVILLE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "361-527-4023",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS, FAGD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14118",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209861801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091000203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebbronville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.